Search › Minnesota › 363A00000X
Kylie Lyman, PA-C
NPI 1578321360 · on the registry since 2024
Practice
- Address
- 1495 County Road 101 N
Plymouth, MN 55447 - Phone
- (763) 504-6600
- Organisation at this address
- Plymouth Plaza Dental
Paul Boettner D.D.S. PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 21395 John Milless Dr, Rogers, MN
- 5700 Bottineau Blvd, Crystal, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota